| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
5,594 |
4,863 |
$237K |
| 92015 |
Determination of refractive state |
9,444 |
8,162 |
$195K |
| V2020 |
Frames, purchases |
3,475 |
3,131 |
$174K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,377 |
2,838 |
$171K |
| 92060 |
|
2,258 |
1,973 |
$87K |
| 92202 |
|
1,515 |
1,215 |
$40K |
| 92020 |
|
1,184 |
955 |
$21K |
| 92225 |
|
442 |
403 |
$7K |
| V2500 |
Contact lens, pmma, spherical, per lens |
38 |
38 |
$4K |
| 92226 |
|
18 |
16 |
$315.59 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
88 |
77 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
12 |
12 |
$0.00 |
| V2781 |
Progressive lens, per lens |
134 |
129 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
189 |
189 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
72 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
33 |
32 |
$0.00 |